Pearly Whites Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

019025608 Issued in IL

Legal business name

PEARLY WHITES DENTISTRY

Practice address

636 S Roselle Rd
Schaumburg, IL 60193-3123

Phone

(847) 895-8444

Fax

(847) 895-8543

NPI assigned

Sep 22, 2016

Last updated

Sep 22, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Yoli Marroquin

Title

Front Ofice

Phone

(847) 895-8444

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Baran, DDS

  • Dentist
  • Schaumburg, IL
  • NPI 1659553204
  NPD (past)
• Parul Jain, DDS

  • Dentist
  • Schaumburg, IL
  • NPI 1689791840
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1366991093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933123",
            "telephone_number": "847-895-8444",
            "fax_number": "847-895-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933123",
            "telephone_number": "847-895-8444",
            "fax_number": "847-895-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLY WHITES DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "MARROQUIN",
        "authorized_official_first_name": "YOLI",
        "authorized_official_title_or_position": "FRONT OFICE",
        "authorized_official_telephone_number": "847-895-8444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Pawlata, RDN, LDN
• Paylocity Holding Corp
• Robert Peachey, O.D.
• Alison Pearl, LSW
• Pearle Vision Inc
• Steven N Pector, D.O.
• Pediatric Healthlink SC (Swarap Karande MD)
• Pediatric Healthlink, S.C.
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Stacey Pelton, PSY.D.

• Dentist in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.